Hospital - OR RN III (Full-Time, 10:30-7:00)

UT Health San Antonio•San Antonio, TX

2d•Onsite

About The Position

The Operating Room RN III is an advanced licensed clinician who practices at a proficient level and is considered an expert in the specialty. The role provides professional direct patient care to a diverse population, including nursing assessments, assistance with examinations and treatment, and maintenance of medical records. The RN III also coaches and mentors department staff in clinical and professional practice, models compassionate communication with physicians and the interprofessional health care team, and assumes leadership responsibilities at the bedside, unit, service-line, and institutional levels. Responsibilities may include leading unit and shared governance activities, serving as charge nurse as needed, assessing unit practice and improvement needs, serving as a clinical resource for unit and hospital staff, and coordinating education in partnership with management. The RN III supports staff engagement, team development, patient- and family-centered care, quality and safety improvement, regulatory compliance, patient flow, resource utilization, and evidence-based practice. The position also supports change initiatives, develops nursing knowledge, and performs other job-related duties as assigned.

Requirements

Associate's degree in Nursing is required at the date of hire.
Must obtain a Bachelor of Science in Nursing within 2.5 years of the date of hire.
Current Texas Board of Nursing or Compact State RN license, or a Temporary Texas RN License with a permanent Texas license obtained within 90 days of hire.
American Heart Association Basic Life Support (BLS) certification within 7 days of hire.
May be required to maintain the security and integrity of UT San Antonio and its infrastructure in accordance with Texas EO-GA-48.

Responsibilities

Foster staff engagement by listening, seeking and acknowledging feedback, making equitable decisions, explaining decisions, and supporting organizational goals.
Anticipate staff needs and offer assistance; model interprofessional communication and assist with staff stress management as needed.
Support improved staff turnover and retention outcomes on unit-based scorecards.
Model fair and consistent leadership and team-building through problem-solving, coaching, and staff development.
Coach staff in effective communication and help include patients and families in care planning.
Provide input into staff performance reviews and mentor, resource, and oversee unit staff, students, new employees, and preceptorships.
Identify organizational conflict and use appropriate tools to resolve concerns, complaints, and disputes involving patients, families, physicians, and interprofessional team members.
Lead patient- and family-centered care standards; mentor others regarding specialty populations and audit plans of care.
Practice in accordance with cultural diversity and inclusion principles.
Conduct ongoing leader rounding with patients, families, and staff to improve patient care.
Collaborate with other departments to address patient-process issues and improve patient satisfaction.
Model nursing-process standards and participate in meeting and improving nurse-sensitive quality indicators and patient safety goals.
Contribute to a continuous improvement environment and model regulatory requirements and professional practice standards.
Coordinate nursing care throughout the shift, considering patient acuity, staff skill levels, and safety.
Facilitate patient flow to, from, and through the department and lead quality family-centered care across the continuum.
Ensure patient care plans are accurate and timely, and coach staff when documentation deficiencies are identified.
Work with OAs and bed management to support timely patient placement.
Recognize and respond to situations such as rapid responses, CERTs, and emergency codes by determining and implementing a plan of action.
Participate in quality and safety initiatives through peer accountability, near-miss reporting, solution identification, and collaboration with the interprofessional team.
Model situational awareness and use teachable moments to improve safety; assist with audits.
Implement department strategies to meet financial targets, including care documentation, length of stay, efficiency, and resource use such as overtime.
Attend daily care coordination rounds and ensure follow-up on identified concerns or issues.
Manage productivity according to the staffing grid and provide input on unit resource use, including capital and operating budget needs.
Oversee shift-by-shift resource utilization.
Identify and implement innovative practice or operational changes through unit projects and shared governance, including initiatives addressing readmissions or other department-specific measures.
Investigate and incorporate evidence-based practices presented to shared governance and leadership.
Support change initiatives and adapt to unexpected changes.
Expand personal nursing knowledge and coach staff to develop their knowledge, abilities, and skills.
Serve as a clinical resource and develop and disseminate educational resources and programs to improve quality and professional practice.
Perform other job-related duties as assigned.